Medicare is a federal health insurance program that primarily provides health insurance for Americans aged 65 and older. Establish in 1965, the program expanded in 1972 to cover younger Americans who have a long term disability. Medicare consists of four different parts: Part A covers inpatient hospital stays, Part B covers physician visits, outpatient services and preventative care, Part C covers the Medicare Advantage program, and Part 4 covers outpatient prescription drugs through contracted plans. Medicare reimbursement rates often play a role in the reimbursement rates that private healthcare plans offer.
The Center for Medicare and Medicaid Innovation consistently works with policymakers, providers and other key stakeholders to construct and test alternative payment and delivery models. Medicare has tested a variety of new models, most of which focus on shifting the emphasis to quality care and provide incentives for hospitals and providers to lower spending and decrease cost to patients, while providing higher quality care.
Title | Date | Source | |
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Strengthening Affordability and Quality in America's Health Care System:Five Consensus Recommendations from the Partnership for Sustainable Health Care | April 2013 | Partnership for Sustainable Health Care | |
State Innovation Model Testing Winning States:Payment and Delivery System Reform Analysis | March 2013 | National Academy for State Health Policy - State (re)Forum | |
Center for Medicare & Medicaid Innovation: Where Innovation is Happening | February 2013 | Center for Medicare and Medicaid Innovation | |
State-by-State Health Insurance Exchange Activity | February 2013 | Kaiser Family Foundation |
Title | Source | Date |
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Doctors Give Medicare’s Proposal To Pay For Telemedicine Poor Prognosis | October 10, 2018 | |
PCPCC Applauds CMS Initiative to Deliver New Medicare Payment Models Emphasizing the Centrality of Primary Care | April 23, 2019 | |
Innovation At The Centers For Medicare And Medicaid Services: A Vision For The Next 10 Years | August 12, 2021 | |
Better Health – NOW Backs Senate Behavioral Health Integration Measure | July 10, 2023 | |
Pay for What Patients Want: Primary Care for the Whole Person | August 9, 2023 | |
Ensuring Access to Primary Care for Women and Children Act | August 27, 2014 | |
5 initial reactions to the proposed MACRA rule | Becker's Hospital Review | April 29, 2016 |
New Directions for Medicare Physician Payment | The Commonwealth Fund | June 21, 2016 |
Association Between Medicare Accountable Care Organization Implementation and Spending Among Clinically Vulnerable Beneficiaries | The Commonwealth Fund | June 24, 2016 |
CMS touts promise of two primary care initiatives | Bloomberg | January 23, 2015 |